Organization
JASON MILLER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON MILLER LCSW (PRESIDENT)
(574) 849-6933
Entity
Organization
Contact information
Practice address
1930 W LINCOLN AVE, GOSHEN, IN 46526-5907
(574) 534-2161
Mailing address
1930 W LINCOLN AVE, GOSHEN, IN 46526-5907
(574) 534-2161
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/13/2022
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